ACLS Drug Doses

Course AHA ACLS

Drugs

EKG

Algoritms

Defibrillation and Conversion

 

P-P progressive widening = 2 nd degree type 1

P-P interval regular dissociated from QRS = 2nd degree HB = type II

 

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DRUGS

Adenosine

6mg rapid  IV push

follow with 20ccs saline half life very short few seconds)

After 2 minutes 2nd dose 12mg iv push follow with saline

Adenosine

AD Nose six

Narrow complex tachycardia vagal then

6mg rapid bolus rapid saline flusf  12 12 v short half life

 

Amiodorone

150 mg over 10 minutes

If VT occurs Repeat

Amiodorone

V tach and V fib unresponsive to shock epi and vasopressin

300 mg iv push followed by 20ccs saline

                          150 over 10 minutes

then 1mg/min for 6 hrs then .5mg min for 18 hours

” AMIODARONE HYDROCHLORIDE 150 MG/3 ML IS INCOMPATIBLE WITH SALINE AND SHOULD BE ADMINISTERED SOLELY IN 5% GLUCOSE SOLUTION.”

Wide complex

Aspirin

160-325mg tablet

Atropine

.5mg iv push  IV for symptomatic bradycardia

blocks parasympathetic

Max 3mg

Atropine 1mg iv every 3-5mins (up to 3 doses)

Atropine

is 0.5 mg IV every 3-5 minutes as needed, total max 3mg

Diltiazam

5-15mg/hr

Dopamine

10-20 migs per kig

2nd line for bradycardia after atropine 10-20mcg/kg/min

Dobutamine

inotrope 2-20mcg/kg/min

Epi

1mg (1/10,000)/3-5min

Epinephrine

Pulseless arrest, bradycardia PEA asystole tachy pulseless v tach and V fib

                          1mg every 3-5mins  NO MAX

                           2-10mcg/min

Lidocaine alternative for amiodorone V fib 1mg/kg IV push

Magnesium sulphate

antiarrhythmic polymorph VT and Torsadesslows rate SA node 1-2mg iv

Morphine

IV morphine 2–4 mg IV  at 5–15‐minute intervals with increments of 2–8 mg IV

TNG sublingual spray every 3-5mins for total of 3 doses

Ask about Viagra or Cialis

Vasopressin

2nd to epi pulseless arrest
40 Units

 

Vasopressin

1 dose of 40U iv/io to replace 1st or 2nd dose of epi

Verapamil

V for 5 rapid HR bt give slowly

calcium channel blocker Irregular or regular narrow complex tachycardia

 5mg SLOWLY over 3-5min